Individual provider · Type 1 NPI
Jenna Kennedy, LADC
Addiction (Substance Use Disorder) Counselor · Pender, NE
NPI number
1972048759
Active
Practice location
510 Norris Ave
Pender, NE 68047-5033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1457 (NE) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1343 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1972048759
Jenna Kennedy, LADC's National Provider Identifier is 1972048759, issued on Jan 3, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pender, NE. The record was last updated on Jan 18, 2022.